PT Question of the Week - Reflex Sign

You are mentoring a student physical therapist and have asked them to demonstrate how they would perform the Gonda’s sign reflex and what would be the correct patient response or a positive finding. What would be the correct explanation from the student?

1. The clinician strokes the plantar surface of the patient’s foot from the heel to the great toe, starting from the lateral side and sweeping across to the medial side of the ball of the foot. A positive response is an extension of the great toe
2. The clinician strokes the patient’s lateral malleolus. A positive response is an extension of the great toe
3. The clinician presses a toe down (other than the great toe) and releases it with a snap. A positive response is the extensor plantar reflex
4. The clinician squeezes the patient’s calf muscle. A positive response is an extension of the great toe